Everyday practices at the medical ward
A 16-Month Ethnographic Field Study
Bibliographic Data
| ID | 5844241 |
|---|---|
| Authors | Amanda Wolf (0000-0001-6111-8377, University of Gothenburg, corresponding author), Axel Wolf, Inger Ekman (0000-0002-5559-5203, University of Gothenburg), L Dellenborg (0000-0003-1679-539X, Swedish Institute) |
| Year | 2012 |
| Volume | 12 |
| Issue | 1 |
| Publication date | 2012-07-02 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BMC Health Services Research (JOURNAL) |
| Journal identifiers | ISSN: 1472-6963 • E-ISSN: 1472-6963 |
| Publisher | BioMed Central (PUBLISHER • GB) |
| DOI | 10.1186/1472-6963-12-184 |
| PMID | 22748059 |
| PMCID | PMC3409076 |
| OpenAlex | W2020373050 |
| Language | EN |
| Citations received | 8 |
| References cited | 61 |
Modern hospital care should ostensibly be multi-professional and person-centred, yet it still seems to be driven primarily by a hegemonic, positivistic, biomedical agenda. This study aimed to describe the everyday practices of professionals and patients in a coronary care unit, and analyse how the routines, structures and physical design of the care environment influenced their actions and relationships. Ethnographic fieldwork was conducted over a 16-month period (between 2009 and 2011) by two researchers working in parallel in a Swedish coronary care unit. Observations, informal talks and formal interviews took place with registered nurses, assistant nurses, physicians and patients in the coronary care unit. The formal interviews were conducted with six registered nurses (five female, one male) including the chief nurse manager, three assistant nurses (all female), two cardiologists and three patients (one female, two male). We identified the structures that either promoted or counteracted the various actions and relationships of patients and healthcare professionals. The care environment, with its minimalistic design, strong focus on routines and modest capacity for dialogue, restricted the choices available to both patients and healthcare professionals. This resulted in feelings of guilt, predominantly on the part of the registered nurses. The care environment restricted the choices available to both patients and healthcare professionals. This may result in increased moral stress among those in multi-professional teams who work in the grey area between biomedical and person-centred care
Health administration · Participant observation · Empathy and Medical Education · Family and Patient Care in Intensive Care Units · Patient-Provider Communication in Healthcare
Elaboration of the Gothenburg model of person‐centred care
The medical gaze reframed
The Development of Ethnographic Drama to Support Healthcare Professionals
Encounters with Persons Who Frequently Use Psychiatric Emergency Services
Stories under construction
The power of language on patient‐centredness
A Living Intervention
Balancing hope at the end of life organisational conditions for spiritual care in palliative homecare in Sweden
Person-Centered Care — Ready for Prime Time
Anthropology in the Clinic
A phenomenological hermeneutical method for researching lived experience
Development of a framework for person‐centred nursing
The Need for a New Medical Model
Discipline and Punish
Making Gender
The Birth of the Clinic
Discipline and Punish
Transcultural Encounters in a Medical Ward in Sweden
A Grammar of Motives
A Person-Centered Communication and Reflection Model
Patient-centredness
Presence in the Flesh
Interpretation Theory
The Interpretation of Cultures
The new subjective medicine
Evaluating Innovations in the Delivery and Organization of Endoscopy Services in England and Wales
Developing Evidence for How to Tailor Medical Interventions for the Individual Patient
Through the Clinician's Lens
When the field is a ward or a clinic
| Citations per year | 0.67 |
|---|---|
| Citation span | 2014 - 2026 (13) |
| Highly cited | No |